Todd Charles Peterson
Orthopaedic Surgeon Adult Reconstructive Orthopaedic Surgeon
12499 University Ave
Clive
, Iowa 50325-8288
Todd Charles Peterson
Orthopaedic Surgeon Adult Reconstructive Orthopaedic Surgeon
12499 University Ave
Clive
, Iowa 50325-8288
(515) 440-2676
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About
Features
Specialties
- Orthopaedic Surgeon
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Todd Charles Peterson
- 12411 Lincoln Ave
- Clive, IA
- Zip : 50325-8126
- Phone : (515) 440-2676
Second Address
- Todd Charles Peterson
- 12499 University Ave
- Clive, IA
- Zip : 50325-8288
- Phone : (515) 440-2676
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | 5101018316 | MI |
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | DO-04737 | IA |
National Provider Identifier
| NPI | 1407085103 |
|---|---|
| Provider Name | Todd Charles Peterson |
| First Address | Clive, IA 50325-8126 |
| Second Address | Clive, IA 50325-8288 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/07/2009 |
| Last Update Date | 07/08/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.